结石病

There were 1733 suitable cases in 15 papers, 1546 were followed-up, the ratio of female to male was 1.7, the mean age was 43.3, course of disease main in 1~5 years, the most size of gallstone was 3 cm×3.5 cm or 3.6 cm, for postoperative complications, only a few patients feeled little turgor, hidden ache in right upper quadrant, and anep-ithymia,6 cases with fluidify of incisional wound, 2 cases with infection of incisional wound,4 cases with seroperi-toneum concurrent infection, only 1 case occur bile leakage, and there were 20 cases with gallstone recur.

结果 共收集符合要求的文献15篇，病例数1733例，随访1546例。男：女=1：1.7；年龄平均43.3岁；病程多数在1~5年之内；结石大小，最大3cm×3.5cm和3.6cm。术后并发症方面，仅少数患者有轻微右上腹胀满不适、隐痛和食欲欠佳，出现切口积液8例，切口感染2例，4例腹腔积液合并感染，胆漏1例。

Alanine, glycine and glutamine, and present weak resonances of creatinine also; diabetes mellitus patients show hyperglycorrhachia and strong resonances for ketone bodies and glycine; patients with benign prostatic hypertrophy or urethral stone have high levels of creatinine; the genital tumor females can be distinguished with low pyruvate levels on the bases of /sup 1/H-NMR spectra.

以下乃是由上述样品族群之氢光谱所得之结论；孕妇的脑脊髓液具有低浓度的脊髓糖；胺基酸(如丙氨酸；麸氨酸和甘氨酸)和肌酸酐；有酮体生成，糖尿病患的脊髓液在氢核光谱显示高浓度的脊髓糖，另外有丙酮酸；乙醯乙酸盐和甘氨酸的强烈共振讯号，而具摄护腺肥大症或是尿道结石的病患，具有高浓度的肌酸酐在其CSF的氢光谱中。

Karasick S,Wechsler RJ.Case 23:replacement lipomatosis of the kidney.

肾脏替代性脂肪瘤病合并铸型结石的肾镜治疗。

The pathogical changes and the clinical results of the involved kidneys in this studY lead the authors to believe that primary nephrectomy would be much preferable than preliminary nephrostomy in those pateints.

根据脓肾造瘘后患肾的转归和病理学改变，作者认为对于单侧上尿路结石并脓肾患者的治疗，一期切除病肾应作为首选。

About one-third of the stones depicted by the unenhanced CT were not able to be demonstrated on the plain radiographs in our patients.

经由输尿管扩大的次级病徵也可能在无对比增强CT中区别静脉石和结石。

Object: Explore the healthcare measurements for the patients of choleliths undergoing acutte / chronic cholecystitis after cholecystectomy.

目的：探讨胆囊结石合并急慢性胆囊炎病人行胆囊切除术后的护理措施。

Histologically, the seminiferous tubules contained numerous Sertoli cells and more Sertoli-spermatozoa complexes, accompanied by the depletion of Leydig cells with deeply stained nuclei. Mature spermatozoa were stored up in the epididymis, but only a few in the efferent ducts. In the second place was testicular atrophy（32/120; 26.7%）. The seminiferous tubules showed moderate to severe inactivity of spermiogenesis with evidence of only spermatogonia, spermatocytes and Sertoli cells. The Leydig cells were obviously decreased in numbers associated with decrease of lipid droplets in their cytoplasms. Testicular hypoplasia was the third disorders（22/120; 18.3%）. Only a few spermatogonia and Sertoli cells appeared without any spermiogenesis. The associated changes was decreased in Leydig cells and fibrous hyperplasia in the interstitium.Epididymal stones were sometimes found（12/120; 10%）. Grossly, yellowish-white nodules with various sizes and firm in consistency were observed in the epididymis and the front efferent ducts. Microscopically, the epididymal ducts were dilated with voluminous spermatozoa storage, even showed calcification in severe cases. The deposited calcium salts were stained positively by Von Kossa and Alizarin red methods.Amyloidosis was also detected in 10 roosters（8.3%）. Eosinophilic, homogeneous, amyloid-like substances were deposited mainly in the testicular interstitium and the periphery of blood vessels. These substances showed positive reaction by Congo red staining. Five roosters（4.2%）had Marek's lesions in the testis, epididymis and peripheral nerves with infiltration of pleomorphic lymphocytes. Only one case showed epithelial necrosis of seminiferous tubules accompanied by fibrous proliferation in the interstitium.

结果发现，在总共搜集的120个病例中，其中因年老所导致的产精力不佳为最多，占38例（31.7%），於镜下可见大量精虫黏附於Sertoli cell的表面，并可见Sertoli cell数量明显增多而Leydig cell明显减少，且其细胞核呈现浓染的现象，而在其副睪中仍可见到成熟精虫蓄留於管腔中，但在其输精管内却只有少量精虫存在；其次为睪丸萎缩，占32例（26.7%），镜下可见中度至重度无造精作用，其生精小管中只见到精母细胞、精原细胞及Sertoli cell存在，但Leydig cell数量明显减少且其细胞质内的脂质也明显减少；睪丸发育不全，占22例（18.3%），於生精小管内只见到精母细胞及少量Sertoli cell存在，不见造精细胞分化，於生精小管间质可见Leydig cell减少并伴随结缔组织增生；副睪结石，占12例（10%），肉眼下可在副睪及输精管前段见到黄白色大小不一的结节，触感坚硬，於镜下可见副睪管扩张并有大量成熟精虫蓄积，严重时可见钙化现象，以Von Kossa及茜素红染色均呈阳性反应；类淀粉沉著症，占10例（8.3%），镜下在睪丸间质及血管周围可见粉红均质样的物质沉积，以刚果红染色成阳性反应；马立克病，占5例（4.2%），镜下可在睪丸、副睪实质及周边神经内均可见到嗜碱性大小不一的淋巴样细胞浸润；睪丸坏死，占1例（0.8%），镜下可见生精小管上皮细胞坏死脱落及间质结缔组织增生。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。